Meeting Patient's Cultural Needs

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Caring Role of the Nurse

Topic : Meeting Patient’s cultural needs.

Cohort : March 2005

Date of submission : 14th November 2006-07-30

Seminar Group: 3

Number of words: 1600 words

Chose TWO patients from different cultural backgrounds and discuss how you were able to meet their needs.

The purposes of this essay is to chose two patients from different cultural backgrounds and discuss how their needs were meet whilst on my placement at Chase Farm Hospital. I will highlight how I used good communication and interpersonal skill to meet the patient’s needs.

The first was a woman of Somalia origin who was admitted for chest pain and shortness of breath. The other, was a woman with Jewish beliefs, who was admitted with Glycosuria. A scenario will also be incorporated to provide a clear aim on the topic in question. The patients’ identities will remain confidential in accordance with the Nursing & Midwifery Council, (2002) which states that information about patient and client must be treated with confidence, and only be use for the purpose for which it was given. For this sake, the patients will be referrred to as Muyinat and Mary throughout the essay.

The rationale behind choosing this particular topic is that it is significant in today nursing and care of patient. We live in a multicultural society and at least one in every three patients admitted to hospital will be people from the ethnic background. A multicultural society like Britain comprises of people with different views about the causes and treatments of illnesses, when to seek treatment, whom to consult, and what treatments are appropriate for them.

Caring as a concept has been extensively analysed, such analysis has suggested that caring is not simply a series of actions, but a way of acting which is both contextually dependent and value bound. Respect and dignity should be incorporated in this care giving to provide nurse-patient relationship, which is viewed as central or the foundation to practice of nursing, Benner et al (2003 pg 159-166).

Taylor et al (2000) sees culture as a learned and shared behaviour of members of a known society. Culture is a social blueprint, a guide for living, the way of life of a society. To be culturally competent a nurse needs to understand his/her own world views and those of the patient, while avoiding stereotyping and misapplication of scientific knowledge. Nurses need to be more flexible in their practice, especially when it comes adapting to different cultural beliefs and incorporating this knowledge into caring for patient of different ethnic background. Being cultural competence is obtaining cultural information and then applying that knowledge. This cultural awareness allows you to see the entire picture and improves the quality of care and health outcome, (Journal of Advance Nursing 2000 pg 226-234).

While on my placement, two women from two different cultural background was admitted. Muyinat was an 80 years old Somalia woman admitted with shortness of breath and heart failure. Heart failure occurs when the heart becomes less efficient at pumping blood around the body. (British Heart Foundation 2002).

Mary is a 72yrs old Orthodox Jewish woman. She was admitted via the Out-Patient department with glycosuria, this is the presence of abnormally high level of sugar in the urine, it is a condition of Osmotic diuresis, which is a typical in patient’s suffering form diabetics mellitus (Concise Medical Dictionary 2003; pg 291) This condition leads to excretion of glucose in the urine due to lack of hormone in insulin.

I introduced my self (said my name) as a student nurse who will be looking after them, with my mentor. On their admission, my mentor and I did both assessments using the Ropers model (2004) to see each patients capabilities and where they will need the least help. It is well documented that being admitted to hospital creates a state of anxiety for patients (Mitchell...
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